From the Research
The prognosis for Erb's palsy is generally favorable, with approximately 80-96% of infants experiencing complete recovery, especially if improvement begins in the first two weeks, as reported by 1. The recovery rate depends largely on the severity of the nerve injury. Early intervention is crucial, typically beginning with gentle physical therapy within the first few weeks of life to maintain joint mobility and prevent contractures. Some key points to consider in the management and prognosis of Erb's palsy include:
- The importance of early immobilization followed by passive and active range of motion exercises, although there is no proof that any intervention is effective, as noted by 1.
- The potential need for surgical exploration of the brachial plexus in infants with no recovery by three to five months, as suggested by 1.
- The long-term implications of Erb's palsy, including the potential for pain, impaired sensation, arthritis, and limitation of function, as reported by adults with the condition in 2.
- The role of surgical correction in improving shoulder and elbow function in children with Erb's palsy, as discussed by 3. Overall, the prognosis for Erb's palsy is favorable, but it requires careful management and monitoring to ensure the best possible outcome, with consideration of the latest evidence from studies such as 1 and 3.